Novel Pharmacological Approaches for Multidrug-Resistant Tuberculosis: Review.

IF 2.9 Q3 PHARMACOLOGY & PHARMACY
Advances in Pharmacological and Pharmaceutical Sciences Pub Date : 2025-11-29 eCollection Date: 2025-01-01 DOI:10.1155/adpp/8849786
Kassahun Dires Ayenew, Habtemariam Alekaw Habteweld, Abate Wondesen Tsige, Yihenew Sewale Bizu
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Abstract

Background: Due to its resistance to common anti-TB drugs, multidrug-resistant tuberculosis (MDR-TB) presents substantial treatment problems. Optimizing therapeutic outcomes requires individualized treatment plans that take into account patient comorbidities, medication susceptibility profiles, and past treatment history. The significance of individualized medication in the treatment of MDR-TB is emphasized in this study.

Methods of review: Current research on tailored treatment plans for MDR-TB is summarized in this review. It highlights how pharmacogenomics, medication sensitivity testing, and patient-centered care can be used to customize treatment plans. The utilization of combination therapies, monitoring and adaptation techniques, and novel treatment options-such as adjuvant therapy and newer agents-are also covered in the review.

Findings: Important findings show that thorough medication susceptibility testing is essential for directing wise treatment decisions. Dosage modifications based on individual metabolic responses can be informed by pharmacogenomic data. Treatment regimen adherence is improved when patients participate in decision-making. Combination therapy involving new drugs has demonstrated potential for increasing therapeutic effectiveness while reducing the emergence of resistance. Frequent monitoring makes it possible to promptly modify therapy in response to the patient response.

Conclusions: Treatment for MDR-TB must be individualized and comprehensive due to its complexity. For individuals with MDR-TB, therapy outcomes can be greatly enhanced while lowering the risk of further resistance by combining host-directed therapies, pharmacological breakthroughs, and continuous patient monitoring. Enhancing customized care solutions in this difficult field of infectious illness management requires ongoing research and innovation.

耐多药结核病的新药理学方法:综述。
背景:耐多药结核病(MDR-TB)由于对常见抗结核药物具有耐药性,给治疗带来了实质性问题。优化治疗结果需要个性化的治疗计划,考虑到患者的合并症、药物敏感性概况和过去的治疗史。本研究强调了个体化治疗在耐多药结核病治疗中的重要意义。综述方法:本文综述了目前针对耐多药结核病量身定制治疗方案的研究。它强调了如何使用药物基因组学,药物敏感性测试和以患者为中心的护理来定制治疗计划。联合治疗的使用,监测和适应技术,以及新的治疗选择,如辅助治疗和新药,也包括在回顾中。研究结果:重要的研究结果表明,彻底的药物敏感性测试对于指导明智的治疗决策至关重要。基于个体代谢反应的剂量调整可以通过药物基因组学数据来告知。当患者参与决策时,治疗方案的依从性得到改善。涉及新药的联合治疗已证明有可能提高治疗效果,同时减少耐药性的出现。频繁的监测可以根据患者的反应及时调整治疗方案。结论:耐多药结核病由于其复杂性,治疗必须个体化和综合性。对于耐多药结核病患者,通过结合宿主定向治疗、药理学突破和持续患者监测,可以大大提高治疗效果,同时降低进一步耐药的风险。在传染病管理这一困难的领域,加强定制的护理解决方案需要不断的研究和创新。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.30
自引率
3.60%
发文量
0
审稿时长
17 weeks
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